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Umolu AG, Venn R, Maxwell D, et al. Hyperechoic kidneys in a patient with bronchiectasis. Ultrasound. 2021;29(4):260-263doi: 10.1177/1742271X21989064.
Umolu, A. G., Venn, R., Maxwell, D., Al Shiekh Ali, Z., & Howlett, D. C. (2021). Hyperechoic kidneys in a patient with bronchiectasis. Ultrasound (Leeds, England), 29(4), 260-263. https://doi.org/10.1177/1742271X21989064
Umolu, A G, et al. "Hyperechoic kidneys in a patient with bronchiectasis." Ultrasound (Leeds, England) vol. 29,4 (2021): 260-263. doi: https://doi.org/10.1177/1742271X21989064
Umolu AG, Venn R, Maxwell D, Al Shiekh Ali Z, Howlett DC. Hyperechoic kidneys in a patient with bronchiectasis. Ultrasound. 2021 Nov;29(4):260-263. doi: 10.1177/1742271X21989064. Epub 2021 Feb 11. PMID: 34777546; PMCID: PMC8579370.
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Ultrasound. 2021 Nov;29(4):260-263. doi: 10.1177/1742271X21989064. Epub 2021 Feb 11.

Hyperechoic kidneys in a patient with bronchiectasis.

Ultrasound (Leeds, England)

A G Umolu, R Venn, D Maxwell, Z Al Shiekh Ali, D C Howlett

Affiliations

  1. Department of Radiology, East Sussex Healthcare NHS Trust, East Sussex, UK.
  2. Department of Respiratory Medicine, East Sussex Healthcare NHS Trust, East Sussex, UK.
  3. Department of Histopathology, East Sussex Healthcare NHS Trust, East Sussex, UK.

PMID: 34777546 PMCID: PMC8579370 DOI: 10.1177/1742271X21989064

Abstract

INTRODUCTION: Hyperechoic renal cortex in a normal-sized kidney has a range of causes, some of which irreparably damage the kidney and should initiate further investigations.

CASE REPORT: We present a 72-year-old woman with longstanding bronchiectasis, noticed to have worsening renal function. Renal tract ultrasonography showed hyperechoic normal-sized kidneys. Renal biopsy confirmed amyloidosis.

DISCUSSION: Imaging findings in renal amyloidosis tend to be non-specific and are not always present. However, ultrasonography findings of hyperechoic cortex in normal-sized kidneys should not be ignored.

CONCLUSION: Renal impairment from blood chemistry in addition to hyperechoic kidneys may be the key to diagnosing secondary amyloidosis in a patient with bronchiectasis, a rare association but important to recognise.

© The Author(s) 2021.

Keywords: Hyperechoic; bronchiectasis; renal amyloidosis; secondary amyloidosis

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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